Brent Wiederholt

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NPI Number Detailed Information

Provider Information:

Name:	Brent Wiederholt
Gender:	M
Provider License Number If Given:	R033677

NPI Information:

NPI:	1588825723
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/20/2008
Last Update Date:	7/23/2015

Provider Business Mailing Address:

Address:	PO BOX J Fort Yates, ND 58538
Phone Number:	7018543831
Fax Number:

Provider Business Practice Location Address:

Address:	N10 NORTH RIVER ROAD Fort Yates, ND 58538
Phone Number:	7018543831
Fax Number:

Provider Taxonomy:

Primary:	163WE0003X
Secondary (if any):	363LF0000X
State:	ND

Top Doctors in ND

About Brent Wiederholt

Brent Wiederholt ( BRENT WIEDERHOLT ) is Definition Registered Nurse Physician in Fort Yates, ND. The NPI Number for Brent Wiederholt is 1588825723.

The current location address for Brent Wiederholt is N10 NORTH RIVER ROAD Fort Yates, ND 58538 and the contact number is 7018543831 and fax number is . The mailing address for Brent Wiederholt is PO BOX J Fort Yates, ND 58538- 7018543831 (mailing address contact number - 7018543831).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Brent Wiederholt ?

Answer: The NPI Number for Brent Wiederholt is 1588825723

Where is Brent Wiederholt located?

Answer: Brent Wiederholt is located at N10 NORTH RIVER ROAD Fort Yates, ND 58538.

What is the specialty for Brent Wiederholt ?

Answer: The Specialty of Brent Wiederholt is Definition Registered Nurse Physician.

Are there any online reviews for Brent Wiederholt ?

Answer: Not yet!

Are there any other health care providers in Fort Yates, ND?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Brent Wiederholt

Number of HCPCS	9
Number of Medicare Beneficiaries	88
Number of Services	200
Total Submitted Charge Amount	32957
Total Medicare Allowed Amount	10890.85
Total Medicare Payment Amount	7902.56
Total Medicare Standardized Payment Amount	8003.58
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	9
Number of Medicare Beneficiaries With Medical	88
Number of Medical Services	200
Total Medical Submitted Charge Amount	32957
Total Medical Medicare Allowed Amount	10890.85
Total Medical Medicare Payment Amount	7902.56
Total Medical Medicare Standardized Payment Amount	8003.58
Average Age of Beneficiaries	68
Number of Beneficiaries Age Less 65	21
Number of Beneficiaries Age 65 to 74	45
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	47
Number of Male Beneficiaries	41
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	41
Number of Beneficiaries With Medicare Only Entitlement	47
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.26
Percent (%) of Beneficiaries Identified With Diabetes	0.53
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.34
Percent (%) of Beneficiaries Identified With Hypertension	0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.41
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.2153

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	544
Number of Standardized 30-Day Fills	769.43333333
Aggregate Cost Paid for All Claims	55330.04
Number of Day's Supply for All Claims	21442
Number of Medicare Beneficiaries	64
Number of Claims, Including Refills, for Beneficiaries Age 65+	304
Including Refills, for Beneficiaries Age 65+	422.26666667
Beneficiaries Age 65+	9794.06
Number of Day's Supply for All Claims for Beneficaries Age 65+	11558
Number of Medicare Beneficiaries Age 65+	40
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	94
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	428
Aggregate Cost Paid for Generic Drugs	5404.2
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	22
Aggregate Cost Paid for Other Drugs	1077.32
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst	*
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst	#
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	497
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	41499.98
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	47
by Low-Income Subsidy	13830.06
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	14
Aggregate Cost Paid for Antibiotic Drugs	157.67
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	64.8125
Number of Beneficiaries Age Less Than 65	24
Number of Beneficiaries Age 65 to 74	31
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	31
Number of Male Beneficiaries	33
Number of Non-Hispanic White
Number of Black or African American	0
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	61
Number of Beneficiaries with Race Not
Only Entitlement	12
Average Hierarchical Condition Category	1.3729856646

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Dr. Johna C Hartnell
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NPI Number: 1558377796
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Callie C Baker
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Dr. Mark Jackson
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Fort Yates Ihs Hospital
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Valerie P Eagle Shield
Registered Nurse
NPI Number: 1467612127
Address: 10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Gerard Anton Kraft
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Address: 10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018548247

Robbi Allyn Yellow
Family Nurse Practitioner
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Catherine Marie Jordan
Ambulatory Care Registered Nurse
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Brent Wiederholt
Emergency Registered Nurse
NPI Number: 1588825723
Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Mrs. Denise Nicole Klipfel
Registered Nurse
NPI Number: 1295996197
Address: N 10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Joelle Marie Keepseagle
Ambulatory Care Registered Nurse
NPI Number: 1063673861
Address: 10N NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Mrs. Michelle Lynn Kraft
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NPI Number: 1457513905
Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Jade Marie Peterson
Registered Nurse
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Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

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Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Mr. Darian Richard Schaubert
Registered Dietitian
NPI Number: 1588826648
Address: 10 N RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Donna Sue Luger
Licensed Practical Nurse
NPI Number: 1841453255
Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Terri Lee Fleck
Registered Nurse
NPI Number: 1821251232
Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Mr. Gerard Paul Nagel
Emergency Registered Nurse
NPI Number: 1407019581
Address: N 10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Mariann F Schaeffer
Registered Nurse
NPI Number: 1821248204
Address: 10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Aurelia R Snider
Licensed Practical Nurse
NPI Number: 1649420027
Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Helen M Silk
Registered Nurse
NPI Number: 1174773386
Address: 10N NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

Marietta L. Little Thunder
Registered Nurse
NPI Number: 1760636765
Address: N10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018548215

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Address: 10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

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Ambulatory Care Registered Nurse
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Address: 10 NORTH RIVER RD Fort Yates, ND 58538 , Phone: 7018543831

Dr. Tuyet Ngoc Luu
Family Medicine Physician
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Paramedic
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Address: 10 N RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

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Address: 139 PROPOSAL AVE STANDING ROCK SIOUX TRIBE Fort Yates, ND 58538 , Phone: 7018548500

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Address: 10 N RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

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Address: 10 NORTH RIVER ROAD Fort Yates, ND 58538 , Phone: 7018543831

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Address: N 10 RIVER RD Fort Yates, ND 58538 , Phone: 7018543831

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